A nurse is assessing the appropriateness of her patient's medications
The nurse understands that it would be most dangerous for the patient taking an angiotensin-converting enzyme (ACE) inhi-bitor if the patient had which of the following co-morbidities? a. Coronary artery disease
b. Heart failure
c. Renal artery stenosis
d. Diabetes mellitus
C
ACE inhibitors can cause severe renal insufficiency in patients with bilateral renal artery stenosis or stenosis in the artery to a single remaining kidney.
Coronary artery disease, heart failure, and diabetes mellitus are not co-morbidities that pose a contraindication in a patient taking an ACE inhibitor.
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A 20-month-old child is experiencing diarrhea. When planning the child's care, the nurse should prioritize assessments related to what health problem?
A) Electrolyte deficiencies B) Anorectal bleeding C) Anal fissures D) Nausea
The client is admitted to the postanesthesia care unit (PACU) after surgery that took place with the client in the lithotomy position. Which change in assessment findings alerts the nurse to a possible complication of this surgical position?
A. The electrocardiogram (ECG) shows tall, peaked T waves and wide QRS com-plexes. B. The client only arouses in response to light shaking. C. The pulse pressure has increased from 28 to 40 mm Hg. D. The dorsalis pedis pulses are not palpable bilaterally.
The nurse is conducting an assessment on the integumentary system of a client age 74 years. Which of the following findings should the nurse document as an anomaly that may warrant follow-up?
A) The client states that a mole on his forehead has become larger in recent months. B) Decreased skin turgor is evident when the skin is folded and then released. C) Small, round, red spots are present on the client's forearms bilaterally. D) There are some raised, brown areas on the backs of the client's hands.
Select the most appropriate outcome for a patient completing the fourth alcohol detoxification program in 1 year. Before discharge, the patient will
a. use rationalization in healthy ways. b. state, "I see the need for ongoing treatment." c. identify constructive outlets for expression of anger. d. develop a trusting relationship with one staff member.